NPI: 1760700298 · SAN ANTONIO, TX 78224 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 05/07/2010
| Authorized Official | MARTIN, KINAM (CHIEF OPERATIONS OFFICER) |
| NPI Enumeration Date | 05/07/2010 |
Other providers sharing the same authorized official: MARTIN, KINAM
| Provider | City | State | Total Paid |
|---|---|---|---|
| SNG - LUFKIN DIALYSIS CENTER LP | LUFKIN | TX | $147K |
| SNG - BARLITE SAN SABA DIALYSIS CENTERS LP | SAN ANTONIO | TX | $64K |
| SNG - GREENVILLE DIALYSIS CENTER LP | GREENVILLE | TX | $25K |
| NACOGDOCHES DIALYSIS CENTER LP | NACOGDOCHES | TX | $9K |
| SNG - COLUMBIA SQUARE DIALYSIS CENTER LP | SAN ANTONIO | TX | $2K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 5,380 | $50K |
| 2022 | 2,015 | $52K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | Unlisted dialysis procedure, inpatient or outpatient | 3,045 | 344 | $102K |
| A4657 | Syringe, with or without needle, each | 311 | 309 | $0.00 |
| 83735 | 26 | 26 | $0.00 | |
| 87340 | 107 | 87 | $0.00 | |
| 82040 | 106 | 86 | $0.00 | |
| J2501 | Injection, paricalcitol, 1 mcg | 1,894 | 181 | $0.00 |
| 84132 | 107 | 87 | $0.00 | |
| A4913 | Miscellaneous dialysis supplies, not otherwise specified | 249 | 249 | $0.00 |
| 82728 | 107 | 87 | $0.00 | |
| J1756 | Injection, iron sucrose, 1 mg | 527 | 153 | $0.00 |
| 85041 | 155 | 155 | $0.00 | |
| J0887 | Injection, epoetin beta, 1 microgram, (for esrd on dialysis) | 439 | 252 | $0.00 |
| 84466 | 107 | 87 | $0.00 | |
| 84155 | 108 | 88 | $0.00 | |
| 83540 | 107 | 87 | $0.00 |